BODY AND SOUL HEALTH CENTER A PROFESSIONAL NURSING CORPORATION
NPI 1801542618
Nurse Practitioner - Psychiatric/Mental Health in Corona, CA

Active since March 02, 2022
1101 CALIFORNIA AVE STE 100, CORONA, CA 92881(951) 496-5238 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2024, Mar 2, 2022 (2 updates tracked since 2022).

About Body And Soul Health Center A Professional Nursing Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BODY AND SOUL HEALTH CENTER A PROFESSIONAL NURSING CORPORATION (NPI 1801542618) is a healthcare organization registered as a psychiatric/mental health in Corona, California and active in the NPI registry since March 2022. The organization lists Shabana Haxton, Ceo, President, as its authorized official.

NPPES Registry Identity

NPI1801542618
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBODY AND SOUL HEALTH CENTER A PROFESSIONAL NURSING CORPORATION
Location Address1101 CALIFORNIA AVE STE 100Corona, CA 92881-6472
Mailing Address1240 E Ontario Ave # 102-103Corona, CA 92881-8671 · (951) 496-5238
Organization SubpartNo
Authorized OfficialShabana HaxtonCeo, President · (951) 496-5238
Enumeration DateMarch 2, 2022
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1801542618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1101 CALIFORNIA AVE STE 100, Corona, CA 92881

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Body And Soul Health Center A Professional Nursing Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Body And Soul Health Center A Professional Nursing Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1750958633
1101 CALIFORNIA AVE STE 100
Corona, CA 92881
(951) 496-5238
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Body And Soul Health Center A Professional Nursing Corporation's NPI number?

The NPI number for Body And Soul Health Center A Professional Nursing Corporation is 1801542618. It was assigned to this organization in the NPPES registry on March 2, 2022.

Where is Body And Soul Health Center A Professional Nursing Corporation located?

Body And Soul Health Center A Professional Nursing Corporation is located at 1101 California Ave Ste 100, Corona, CA 92881. The listed phone number is (951) 496-5238.

What is Body And Soul Health Center A Professional Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Body And Soul Health Center A Professional Nursing Corporation enrolled in Medicare?

Yes. Body And Soul Health Center A Professional Nursing Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Body And Soul Health Center A Professional Nursing Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Body And Soul Health Center A Professional Nursing Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Body And Soul Health Center A Professional Nursing Corporation was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.